How to recognize obesity in children

Burton-Shepherd, Alison

doi:10.12968/pnur.2015.26.7.322

Cited by 2 publications

(2 citation statements)

References 21 publications

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“…The primary care pediatric provider, starting with prenatal visits and contining throughout childhood, has an opportunity to deliver family-centered nutrition information to reduce the prevalence of pediatric obesity [2,14,35,36]. The pediatric provider has the opportunity to assess BMI with scheduled well visits and exams [12,15,34,37].…”

Section: Obesity Prevention In Pediatric Primary Care Pediatric Primary Care As Setting For Obesity Reformmentioning

confidence: 99%

“…The majority of children with elevated BMIs have parents with elevated BMIs [2,14,15]. Positive parental nutritional role modeling in the obese/overweight pediatric patient is an effective lifestyle change for the family unit and the pediatric patient [2,14,35,36]. However, time constraints and decreased reimbursement rates for pediatric providers to deliver the needed parental educational or counseling sessions hinder parents from an indepth nutritional discussion with the pediatric provider [38][39][40].…”

Section: Parental Educational Interventionmentioning

confidence: 99%

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Childhood Obesity: How Engaging Parents of Children with Elevated Body Mass Index in Positive Dietary and Lifestyle Education in Pediatric Primary Care Improved Parental Role Modeling Practices within the Home

Miller¹,

Vael²,

Hires³

et al. 2018

JCNRC

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The purpose of the quality improvement (QI) project was to provide parents nutritional education of recommended feeding practices as a means of encouraging parents to incorporate healthy parental role modeling behavior at home and reduce pediatric body mass index (BMI). The plan-do-study-act was the chosen methodology applied to initiate a practice change within the current treatment of childhood obesity in the outpatient pediatric setting [1,2]. There was a total of 9 parent/child dyad participants who completed the study. The inclusionary criteria for the study was the child was 2-5 years old, with a body mass index (BMI) greater than or equal to 85% according to the pediatric growth curve with accompanied parents/ guardians that was able to give consent. The study demonstrated that there was a statistically significant difference in the pre-survey scores (M=19.00, SD=5.39) and the post-survey scores (M=16.44, SD=3.32); t (8) =2.34, p =.048; clarifying that lower/decreased survey scores demonstrated an improvement in parental knowledge. There was not a significant difference be-tween the pre-educational BMI (M=18.27, SD=.75) and the post-educational BMI (M=18.39, SD=1.16) of study participants; t (8) =-.35, p=.734. This study used the Parental Role Model Assessment tool to compare the pre-interventional parental role modeling scores to the post-interventional role modeling scores within the pediatric home. The quality improvement (QI) team determined that the post interventional Parental Role Model Assess-ment scores decreased which suggested that the educationl intervention delivered by the pediatric provider on positive parental role modeling was retained and modeled by the parents within the pediatric home over a 3 month period. The team concludes that enhancing standards of practice within the pediatric primary care setting to allow for improving parental nutritional/ lifestyle knowledge deficits and providing education to strengthen positive parental role modeling will act to enhance quality-health outcomes within the pediatric obese/overweight population.

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Section: Obesity Prevention In Pediatric Primary Care Pediatric Primary Care As Setting For Obesity Reformmentioning

confidence: 99%

Section: Parental Educational Interventionmentioning

confidence: 99%

Childhood Obesity: How Engaging Parents of Children with Elevated Body Mass Index in Positive Dietary and Lifestyle Education in Pediatric Primary Care Improved Parental Role Modeling Practices within the Home

Miller¹,

Vael²,

Hires³

et al. 2018

JCNRC

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Effect of Iron Supplementation in Anaemic Children with Breath Holding Spells at a Tertiary Care Hospital (KGH - Visakhapatnam) in Southern India

Devagudi¹,

Pedada²,

Dumpala³

2021

jebmh

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BACKGROUND Breath holding spells (BHS) are common, non-epileptic paroxysmal events that occur in children below 6 years, whose diagnosis is made many times clinically. Exact aetiology is not known, but iron deficiency was one among many proposed aetiological factors. Very few studies were published till date to determine role and effect of iron supplementation in children with breath holding spells. Hence the present study was taken up to assess the presence of iron deficiency and the effect of iron supplementation in children with breath holding spells. METHODS This prospective interventional study was performed from May 2012 to April 2017. 125 children below six years of age brought with the complaint of breath holding spells were screened for presence of anaemia and other systemic illnesses. Ten children were excluded with other organic causes and only 85 children were found to have anaemia and were supplemented with 6 mg/kg/day of ferrous sulphate for 3 months and followed up for a total period of 6 months. Response to iron supplementation was assessed in these children by measuring total number of attacks of BHS before starting iron supplementation, after supplementation of iron for three months and also at the end of follow-up period. The results were analysed by using Microsoft Office Excel. RESULTS 76.52 % (85/115) of patients had anaemia and were supplemented with 6 mg/kg/day of ferrous sulphate for 3 months. The remaining 27 cases had normal Hb % & red blood cells (RBC) indices and were not included. Response to iron therapy was assessed in anaemic children with breath holding spells and we found complete response in 78.41 %, partial response in 15.91 % and no response in 5.7 %. CONCLUSIONS This study proved the role of iron therapy in anaemic children with breath holding spells. KEYWORDS Breath Holding Spells (BHS), Iron Deficiency, Anaemia, Haemoglobin

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How to recognize obesity in children

Abstract: Obesity in young children is deemed as one of the most serious public health issues of the 21st Century. Many parents are not able to recognize when their child is overweight or obese. Alison Burton-Shepherd discusses identifying barriers and suggests practical measures to help

Cited by 2 publications

References 21 publications

Childhood Obesity: How Engaging Parents of Children with Elevated Body Mass Index in Positive Dietary and Lifestyle Education in Pediatric Primary Care Improved Parental Role Modeling Practices within the Home

Childhood Obesity: How Engaging Parents of Children with Elevated Body Mass Index in Positive Dietary and Lifestyle Education in Pediatric Primary Care Improved Parental Role Modeling Practices within the Home

Effect of Iron Supplementation in Anaemic Children with Breath Holding Spells at a Tertiary Care Hospital (KGH - Visakhapatnam) in Southern India

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